| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.78 | $20.69 | $126.37 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $28.89 |
Lucent Health
| Facility | 26 | $73.63 | $117.00 | $117.00 |
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.78 | $20.69 | $126.37 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $28.89 |
Lucent Health
| Facility | 26 | $73.63 | $117.00 | $117.00 |